Individual
MRS. KATHRYN LORRAINE HUSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 HAGUE RD, MIDVALE, ID 83645-5111
(208) 390-0271
Mailing address
2421 HAGUE RD, MIDVALE, ID 83645-5111
(208) 390-0271
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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